Not really. When I wrote the original piece, in 2001, I tended to think that (though I was not sure), but I am less confident now, partly because of further emails I have received from people like yourself, over the years, and partly because of recent neurological literature. One thing that particularly changed my view is a 2010 paper by Zeman et al.,* about a man who used to be able to visualize but suddenly lost the ability. It does seem likely that he suffered some sort of minor stroke, but it appears to have had practically no other impact on his mental abilities (or his personality, or anything) except that he can no longer visualize. It seems that he used to know what it is like to visualize, and he noticed when it went away (enough to go to a doctor about it).
I now think I don’t understand the phenomenon, but I am confident nobody else does either, and (outside the brain-damage literature) there has been virtually no scientific research on the subject. This may be, partly, because complete lack of waking visual imagery, in otherwise neurologically healthy people, is so rare, and so difficult to pin down. But actually we do not even know how rare it is. Estimates vary from about 12% to “less than 2%” of the population (none of the figures seem to be much better than informed guesses, and my own guess is that the truth is well toward the low end of this range).
I am sorry that the prose of the main piece is so impenetrable. It was originally a listserv post, more or less the equivalent of a message board post, and I wrote it in one long session, late at night, and was nearly falling asleep by the end, so it never got revised. I do tend to write over-long, over complex sentences, but I usually try to break them up a bit when I revise. As it had already been available on the web, I did not want to edit it when I posted it on my own site, either, but I thought it worth preserving because there is so little else that is available on the subject at all (and much of what there is, is wrong, being based on misunderstandings of Galton’s methodologically crude study from the 19th century).
You may actually find the “addendum” material at the bottom, written more recently, a bit easier to follow and perhaps more interesting (no promises, though).
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*Zeman, A.Z.J., Della Sala, S., Torrens, L.A., Gountouna, V.-E., McGonigle, D.J., & Logie, R.H. (2010). Loss of Imagery Phenomenology with Intact Visuo-spatial Task Performance: A Case of ‘Blind Imagination.’ Neuropsychologia (48 #1) 145-155.
